# DEENA HADITHI DMD, PC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** General Dentistry and Orthodontics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720624307
- **Authorized official:** DR. DEENA HADITHI DMD (PRESIDENT)
- **Authorized official phone:** (703) 644-7300

## Contact information

- **Practice address:** 7210 OLD KEENE MILL RD STE 3, SPRINGFIELD, VA 22150-3442
- **Practice address phone:** (703) 644-7300
- **Practice address fax:** (703) 866-4319
- **Mailing address:** 7210 OLD KEENE MILL RD STE 3, SPRINGFIELD, VA 22150-3442
- **Mailing address phone:** (703) 644-7300
- **Mailing address fax:** (703) 866-4319

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |
| 1223P0300X | Periodontics | — | NULL | — |
| 1223P0300X | Periodontics | — | — | — |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | — | NULL | — |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | — | — | — |

## Other

- **Enumeration date:** 11/19/2019
- **Last updated:** 11/19/2019